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April 1953

ANOMALIES OF THE POSTERIOR TIBIAL TENDON: A Cause of Persistent Pain About the Ankle

Author Affiliations

From the Section of Orthopedic Surgery, Mayo Clinic (Dr. Ghormley).; Fellow in Orthopedic Surgery, Mayo Foundation (Dr. Spear).

AMA Arch Surg. 1953;66(4):512-516. doi:10.1001/archsurg.1953.01260030527019

OBSERVATIONS of four cases of posterior tibial tenosynovitis in which anomalies of the tendon were found at surgical exploration has prompted a review of this subject. The syndrome of noninfectious tenosynovitis was first described by Velpeau, in 1818, and again in 1825.1 The work of de Quervain,2 in 1895, and of many others since has served to emphasize the importance of this condition as a cause of painful symptoms, particularly about the wrist and ankle.

Kulowski,3 in 1936, was the first to mention tenosynovitis of the sheath of the posterior tibial tendon. This was also noted by Lipscomb,4 who stated that it occurred in about 16% of cases of tenosynovitis and peritendinitis of the feet and ankles. Lapidus and Seidenstein5 reported three cases of tenosynovitis with effusion involving the sheath of the posterior tibial tendon. Lipscomb noted anatomic variations of the tendons within the posterior

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